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General NPI Number Information
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NPI Number | 1932685898
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Entity Type | Individual
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Provider Name | VANESSA G. RAYMOND
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Gender | Female
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Dates
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Enumeration Date | 07/13/2018
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 103 NE 4TH ST
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City | DELRAY BEACH
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State | FL
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Zip | 33444-3826
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Country | US
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Telephone | 561-234-4550
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Fax | 561-234-4551
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Provider Business Mailing Address
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Address Line | 5086 STARBLAZE DR
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City | GREENACRES
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State | FL
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Zip | 33463-5934
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Country | US
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Telephone | 561-729-6163
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 9392417
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9392417
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 9392417
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License Number State | FL
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